Family Dental Practice Of Newington | |
375 Willard Ave Newington CT 06111-2300 | |
(860) 665-0444 | |
(860) 665-1465 |
Full Name | Family Dental Practice Of Newington |
---|---|
Speciality | Dentist - Periodontics |
Location | 375 Willard Ave, Newington, Connecticut |
Authorized Official Name and Position | Lynn Micheline Almeida (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 8606650444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Dental Practice Of Newington 375 Willard Ave Newington CT 06111-2300 Ph: (860) 665-0444 | Family Dental Practice Of Newington 375 Willard Ave Newington CT 06111-2300 Ph: (860) 665-0444 |
NPI Number | 1164567111 |
---|---|
Provider Enumeration Date | 02/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164567111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4731 (Connecticut) | Primary |
122300000X | Dentist | 5832 (Connecticut) | Primary |
1223P0300X | Dentist - Periodontics | 5407 (Connecticut) | Primary |
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